Organization
PT & OT OF OREGON, LLC
Active
Other names
PACIFIC NORTHWEST PEDIATRIC THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY LEE WHITE (MEMBER)
(206) 367-5853
Entity
Organization
Contact information
Practice address
4305 SE MILWAUKIE AVE, PORTLAND, OR 97202-3960
(503) 232-3955
Mailing address
18801 37TH AVE NE, LAKE FOREST PARK, WA 98155-2713
(206) 367-5853
(206) 367-9609
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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